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QUESTION AND ANSWER . DOC, Exercises of Nursing

Utah Valley University (UVU)Nursing

Prof. Weslie E. Sheldon

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? Neglecting personal grooming Looking at old snapshots of family Participating in a senior citizens' program Visiting their spouse's grave once a month Neglecting personal grooming

Typology: Exercises

2023/2024

Available from 08/16/2023

Briantaller 🇺🇸

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• The home care nurse is visiting an older client whose spouse died 6 months ago.

Which behavior by the client indicates ineffective coping?

• Neglecting personal grooming

• Looking at old snapshots of family

• Participating in a senior citizens' program

• Visiting their spouse's grave once a month

• Neglecting personal grooming

• A client with a diagnosis of major depression who has attempted suicide says to the

nurse, "I should have died. I've always been a failure. Nothing ever goes right for

me." Which response demonstrates therapeutic communication?

• "You have everything to live for."

• "Why do you see yourself as a failure?"

• "Feeling like this is all part of being depressed."

• "You've been feeling like a failure for a while?"

4. "You've been feeling like a failure for a while?"

• When the mental health nurse visits a client at home, the client states, "I haven't

slept at all the last couple of nights." Which response by the nurse illustrates a

therapeutic communication response to this client?

• "I see."

• "Really?"

• "You're having difficulty sleeping?"

• "Sometimes, I have trouble sleeping too."

• "You're having difficulty sleeping?"

• A client experiencing disturbed thought processes believes that his food is being

poisoned. Which communication technique should the nurse use to encourage the

client to eat?

• Using open-ended questions and silence

• Sharing personal preference regarding food choices

• Documenting reasons why the client does not want to eat

• Offering opinions about the necessity of adequate nutrition

1. Using open-ended questions and silence

• A client admitted to a mental health unit for treatment of psychotic behavior spends

hours at the locked exit door shouting, "Let me out. There's nothing wrong with me. I

don't belong here." What defense mechanism is the client implementing?

• Denial

• Projection

• Regression

• Rationalization

1. Denial

• A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish

my family would stop hoping for a cure! I get so angry when they carry on like this.

Discover Exercises of Nursing Utah Valley University (UVU)

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The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping?
- Neglecting personal grooming
- Looking at old snapshots of family
- Participating in a senior citizens' program
- Visiting their spouse's grave once a month
- Neglecting personal grooming
A client with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication?
- "You have everything to live for."
- "Why do you see yourself as a failure?"
- "Feeling like this is all part of being depressed."
- "You've been feeling like a failure for a while?"
1. "You've been feeling like a failure for a while?"
When the mental health nurse visits a client at home, the client states, "I haven't slept at all the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this client?
- "I see."
- "Really?"
- "You're having difficulty sleeping?"
- "Sometimes, I have trouble sleeping too."
- "You're having difficulty sleeping?"
A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat?
- Using open-ended questions and silence
- Sharing personal preference regarding food choices
- Documenting reasons why the client does not want to eat
- Offering opinions about the necessity of adequate nutrition
1. Using open-ended questions and silence
A client admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting, "Let me out. There's nothing wrong with me. I don't belong here." What defense mechanism is the client implementing?
- Denial
- Projection
- Regression
- Rationalization
1. Denial
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this.

After all, I'm the one who's dying." Which response by the nurse is therapeutic?

"Have you shared your feelings with your family?"
"I think we should talk more about your anger with your family."
"You're feeling angry that your family continues to hope for you to be cured?"
"You are probably very depressed, which is understandable with such a diagnosis."

"You're feeling angry that your family continues to hope for you to be cured?"

On review of the client's record, the nurse notes that the mental health admission was voluntary. Based on this information, the nurse anticipates which client behavior?
Fearfulness regarding treatment measures.
Anger and aggressiveness directed toward others.
An understanding of the pathology and symptoms of the diagnosis.
A willingness to participate in the planning of the care and treatment plan.

A willingness to participate in the planning of the care and treatment plan.

When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this client?
Monitor closely for harm to self or others.
Assist in completing an application for admission.
Supply the client with written information about their mental illness.
Provide an opportunity for the family to discuss why they felt the admission was needed.

Monitor closely for harm to self or others.

The nurse is preparing a client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase?
Planning short-term goals
Making appropriate referrals
Developing realistic solutions
Identifying expected outcomes

Making appropriate referrals - The nurse in the mental health unit recognizes which as being therapeutic communication techniques? Select all that apply.

Restating
Listening
Asking the client, "Why?"
Maintaining neutral responses
Providing acknowledgment and feedback
Giving advice and approval or disapproval
1. Restating
1. Listening

Some structuring of group norms, roles, and responsibilities takes place.
The group explores members' feelings about the group and the impending separation.
- 1. The group evaluates the experience.
- 1. The group explores members' feelings about the group and the impending separation.
When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a cognitive behavioral approach is used as part of the treatment plan. The nurse understands that which is the purpose of this approach?
Providing a supportive environment
Examining intrapsychic conflicts and past issues
Emphasizing social interaction with clients who withdraw
Helping the client to examine dysfunctional thoughts and beliefs

Helping the client to examine dysfunctional thoughts and beliefs

The nurse understands that which best describes Gestalt therapy?
It emphasizes self-expression, self-exploration, and self-awareness in the present.
It promotes the individual's comfort in the group, which then transfers to other relationships.
The therapist focuses on how irrational beliefs and thoughts contribute to psychological distress.
The therapist's goal is to help others express their feelings toward one another during group sessions.

It emphasizes self-expression, self-exploration, and self-awareness in the present.

A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse should tell the client that which is the first step in this 12-step program?
Admitting to having a problem
Substituting other activities for gambling
Stating that the gambling will be stopped
Discontinuing relationships with people who gamble

Admitting to having a problem

Which describes the primary focus of milieu therapy?
A form of behavior modification therapy
A cognitive approach to changing behavior
A living, learning, or working environment
A behavioral approach to changing behavior

A living, learning, or working environment

While being treated, a client is introduced to short periods of exposure to the phobic object while in a relaxed state. What term is used to describe this form of behavior modification?
Milieu therapy
Aversion therapy
Self-control therapy

Systematic desensitization

Systematic desensitization

A client is planning to attend Overeaters Anonymous. Which statement by the client indicates a need for additional information regarding this self-help group?
"The leader is a nurse or psychiatrist."
"The members provide support to each other."
"People who have a similar problem are able to help others."
"It is designed to serve people who have a common problem."

"The leader is a nurse or psychiatrist."

What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session?
Ask the client to leave the group for this session only.
Refer the client to another group that includes other manic clients.
Tell the client to stop monopolizing in a firm but compassionate manner.
Thank the client for the input, but inform the client that now others need a chance to contribute.

Thank the client for the input, but inform the client that now others need a chance to contribute.

Which type of therapeutic approach has the characteristic that all team members are seen as equally important in helping clients meet their goals?
Milieu therapy
Interpersonal therapy
Behavior modification
Rational emotive therapy

Milieu therapy

A client says to the nurse, "The federal guards were sent to kill me." What is the best nursing response to the client's concern?
"I don't believe this is true."
"The guards are not out to kill you."
"Do you feel afraid that people are trying to hurt you?"
"What makes you think the guards were sent to hurt you?"

"Do you feel afraid that people are trying to hurt you?" - A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially?

Move the client next to the nurse's station.
Use an indirect light source and turn off the television.
Keep the television and a soft light on during the night.
Play soft music during the night, and maintain a well-lit room.

Use an indirect light source and turn off the television.

becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, which intervention should the nurse implement?

Place the client in seclusion for 30 minutes.
Tell the client that the behavior is inappropriate.
Escort the client to their room, with the assistance of other staff.
Tell the client that their telephone privileges are revoked for 24 hours.

Escort the client to their room, with the assistance of other staff. - Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply.

Communicate expected behaviors to the client.
Ensure that the client knows that they are not in charge of the nursing unit.
Assist the client in identifying ways of setting limits on personal behaviors.
Follow through about the consequences of behavior in a nonpunitive manner.
Enforce rules by informing the client that they will not be allowed to attend therapy groups.
Have the client state the consequences for behaving in ways that are viewed as unacceptable.
1. Communicate expected behaviors to the client.
1. Assist the client in identifying ways of setting limits on personal behaviors.
1. Follow through about the consequences of behavior in a nonpunitive manner.
1. Have the client state the consequences for behaving in ways that are viewed as unacceptable.
The nurse observes that a client is pacing, agitated, and presenting aggressive gestures. The client's speech pattern is rapid, and affect is belligerent. Based on these observations, what is the nurse's immediate priority of care?
Provide safety for the client and other clients on the unit.
Provide the clients on the unit with a sense of comfort and safety.
Assist the staff in caring for the client in a controlled environment.
Offer the client a less stimulating area to calm down in and gain control.

Provide safety for the client and other clients on the unit.

The nurse is preparing a client with a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations and anxiety. Which statement in response to these instructions suggests to the nurse that the client understands the instructions?
"My medications aren't likely to make me anxious."
"I'll go to support group and talk so that I don't hurt anyone."
"It's not likely that I'll get anxious or hear things if I get enough sleep and eat well."
"When I begin to hallucinate, I'll call my therapist and talk about what I should do."

"When I begin to hallucinate, I'll call my therapist and talk about what I should do."

The nurse is caring for a client diagnosed with catatonic stupor who is lying on the bed in a fetal position. What is the most appropriate nursing intervention?
Ask direct questions to encourage talking.

Leave the client alone so as to minimize external stimuli.
Sit beside the client in silence with occasional open-ended questions.
Take the client into the dayroom with other clients so that they can help watch him.

Sit beside the client in silence with occasional open-ended questions.

The nurse is caring for a client who is experiencing disturbed thought processes as a result of paranoia. In formulating nursing interventions with the members of the health care team, what best instruction should the nurse provide to the staff?
Increase socialization of the client with peers.
Avoid laughing or whispering in front of the client.
Begin to educate the client about social supports in the community.
Have the client sign a release of information to appropriate parties for assessment purposes.

Avoid laughing or whispering in front of the client.

The nurse is planning activities for a client diagnosed with bipolar disorder with aggressive social behavior. Which activity would be most appropriate for this client?
Chess
Writing
Ping pong
Basketball

Writing

The home health nurse visits a client at home and determines that the client is dependent on drugs. During the assessment, which action should the nurse take to plan appropriate nursing care?
Ask the client why he started taking illegal drugs.
Ask the client about the amount of drug use and its effect.
Ask the client how long he thought that he could take drugs without someone finding out.
Not ask any questions for fear that the client is in denial and will throw the nurse out of the home.

Ask the client about the amount of drug use and its effect. - Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all that apply.

Monitor vital signs.
Maintain NPO status.
Provide a safe environment.
Address hallucinations therapeutically.
Provide stimulation in the environment.
Provide reality orientation as appropriate.
1. Monitor vital signs.
1. Provide a safe environment.

Interrupt the client and offer to take her for a walk.

A client with a diagnosis of anorexia nervosa, who is in a state of starvation, is in a two- bed room. A newly admitted client will be assigned to this client's room. Which client would be the best choice as a roommate for the client with anorexia nervosa?
A client with pneumonia
A client undergoing diagnostic tests
A client who thrives on managing others
A client who could benefit from the client's assistance at mealtime

A client undergoing diagnostic tests

The nurse is monitoring a hospitalized client who abuses alcohol. Which findings should alert the nurse to the potential for alcohol withdrawal delirium?
Hypotension, ataxia, hunger
Stupor, lethargy, muscular rigidity
Hypotension, coarse hand tremors, lethargy
Hypertension, changes in level of consciousness, hallucinations

Hypertension, changes in level of consciousness, hallucinations

The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse, "I should get out of this bad situation." What is the most helpful response by the nurse?
"Why don't you tell your wife about this?"
"What do you find difficult about this situation?"
"This is not the best time to make that decision."
"I agree with you. You should get out of this situation."

"What do you find difficult about this situation?"

A client with anorexia nervosa is a member of a predischarge support group. The client verbalizes that she would like to buy some new clothes, but her finances are limited. Group members have brought some used clothes to the client to replace the client's old clothes. The client believes that the new clothes were much too tight and has reduced her calorie intake to 800 calories daily. How should the nurse evaluate this behavior?
Normal behavior
Evidence of the client's disturbed body image
Regression as the client is moving toward the community
Indicative of the client's ambivalence about hospital discharge

Evidence of the client's disturbed body image

The nurse in the emergency department is caring for a young female victim of sexual assault. The client's physical assessment is complete, and physical evidence has been collected. The nurse notes that the client is withdrawn, confused, and at times physically immobile. How should the nurse interpret these behaviors?
Signs of depression
Normal reactions to a devastating event
Evidence that the client is a high suicide risk
Indicative of the need for hospital admission

Normal reactions to a devastating event

The nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of a situational crisis. The nurse determines that this type of crisis could be caused by which event?
Witnessing a murder
The death of a loved one
A fire that destroyed the client's home
A recent rape episode experienced by the client

The death of a loved one

The nurse is conducting an initial assessment on a client in crisis. When assessing the client's perception of the precipitating event that led to the crisis, what is the most appropriate question?
"With whom do you live?"
"Who is available to help you?"
"What leads you to seek help now?"
"What do you usually do to feel better?"

"What leads you to seek help now?"

The nurse is developing a plan of care for a client in a crisis state. When developing the plan, the nurse should consider which factor?
A crisis state indicates that the client has a mental illness.
A crisis state indicates that the client has an emotional illness.
Presenting symptoms in a crisis situation are similar for all clients experiencing a crisis.
A client's response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client.

A client's response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client.

The nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway, and is making aggressive and belligerent gestures at other clients. Which statement would be most appropriate to make to this client?
"You need to stop that behavior now."
"You will need to be placed in seclusion."
"You seem restless; tell me what is happening."
"You will need to be restrained if you do not change your behavior."

"You seem restless; tell me what is happening."

A depressed client on an inpatient unit says to the nurse, "My family would be better off without me." What is the nurse's best response?
"Have you talked to your family about this?"
"Everyone feels this way when they are depressed."
"You will feel better once your medication begins to work."
"You sound very upset. Are you thinking of hurting yourself?"

Asking the client to report suicidal thoughts immediately

One-to-one suicide precautions

The emergency department nurse is caring for an adult client who is a victim of family violence. Which priority instruction should be included in the discharge instructions?
Information regarding shelters
Instructions regarding calling the police
Instructions regarding self-defense classes
Explaining the importance of leaving the violent situation

Information regarding shelters

A female victim of a sexual assault is being seen in the crisis center. The client states that she still feels "as though the rape just happened yesterday," even though it has been a few months since the incident. What is the most appropriate nursing response?
"You need to try to be realistic. The rape did not just occur."
"It will take some time to get over these feelings about your rape."
"Tell me more about the incident that causes you to feel like the rape just occurred."
"What do you think that you can do to alleviate some of your fears about being raped again?"

"Tell me more about the incident that causes you to feel like the rape just occurred."

A client is admitted to the mental health unit after an attempted suicide by hanging. The nurse can best ensure client safety by which action?
Requesting that a peer remain with the client at all times
Removing the client's clothing and placing the client in a hospital gown
Assigning a staff member to the client who will remain with the client at all times
Admitting the client to a seclusion room where all potentially dangerous articles are removed

Assigning a staff member to the client who will remain with the client at all times - A client is admitted with a recent history of severe anxiety following a home invasion and robbery. During the initial assessment interview, which statement by the client would indicate to the nurse the possible diagnosis of posttraumatic stress disorder? Select all that apply.

"I'm afraid of spiders."
"I keep reliving the robbery."
"I see his face everywhere I go."
"I don't want anything to eat now."
"I might have died over a few dollars in my pocket."
"I have to wash my hands over and over again many times."
1. "I keep reliving the robbery."
1. "I see his face everywhere I go."
1. "I might have died over a few dollars in my pocket."
The emergency department nurse is caring for a client who has been identified as a

victim of physical abuse. In planning care for the client, which is the priority nursing action?

Adhering to the mandatory abuse-reporting laws
Notifying the case worker of the family situation
Removing the client from any immediate danger
Obtaining treatment for the abusing family member

Removing the client from any immediate danger

The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. Which client symptoms require the nurse's immediate action?
Incessant talking and sexual innuendoes
Grandiose delusions and poor concentration
Outlandish behaviors and inappropriate dress
Nonstop physical activity and poor nutritional intake

Nonstop physical activity and poor nutritional intake

The nurse is performing an assessment on a client with dementia. Which data gathered during the assessment indicates a manifestation associated with dementia?
Uses confabulation
Improvement in sleeping
Absence of sundown syndrome
Presence of personal hygienic care

Uses confabulation

The nurse is caring for a client with anorexia nervosa. Which behavior is characteristic of this disorder and reflects anxiety management?
Engaging in immoral acts
Always reinforcing self-approval
Observing rigid rules and regulations
Having the need always to make the right decision

Observing rigid rules and regulations

A depressed client verbalizes feelings of low self-esteem and self-worth typified by statements such as "I'm such a failure. I can't do anything right." How should the nurse plan on responding to the client's statement?
Reassure the client that things will get better.
Tell the client that this is not true and that we all have a purpose in life.
Identify recent behaviors or accomplishments that demonstrate the client's skills.
Remain with the client and sit in silence; this will encourage the client to verbalize feelings.

Identify recent behaviors or accomplishments that demonstrate the client's skills.

A client with diabetes mellitus is told that amputation of the leg is necessary to sustain life. The client is very upset and tells the nurse, "This is all my health care provider's fault. I have done everything I've been asked to do!" Which nursing interpretation is best for this situation?

Disrupted appearance because of weight
Inability to feed self because of weakness
Pain because of an inflamed gastric mucosa
Nutritional imbalance because of lack of intake

Nutritional imbalance because of lack of intake

Which statement made by an unlicensed assistive personnel (UAP) indicates to the registered nurse that the UAP understands the concepts related to suicide?
"Discussing suicide with a client is not harmful."
"Those clients who talk about suicide never do it."
"Depressed clients are the only persons who commit suicide."
"When a person talks about making suicide threats, the only thing the person wants is attention from family and friends."

"Discussing suicide with a client is not harmful."

Which client is most at risk for committing suicide?
A 75-year-old client with metastatic cancer
A 71-year-old client with a cardiac disorder
A 24-year-old client who just had an argument with her roommate
A 30-year-old newly divorced client who states she has custody of the children

A 75-year-old client with metastatic cancer - A nursing instructor teaches a group of nursing students about violence in the family. Which statement by a student indicates a need for further teaching?

"Abusers use fear and intimidation."
"Abusers usually have poor self-esteem."
"Abusers often are jealous or self-centered."
"Abuse occurs more often in low-income families."

"Abuse occurs more often in low-income families."

A client is being prepared for electroconvulsive therapy (ECT). The nurse's plan of care for the day before ECT includes ensuring that the client follows which guideline?
Does not smoke at all
Receives no visitors and participates in limited unit activities
Reports to the clinic for blood draws and an electrocardiogram (ECG)
Is placed on nothing by mouth (NPO) status for 16 to 24 hours before the ECT

Reports to the clinic for blood draws and an electrocardiogram (ECG)

A nursing student is assisting with the care of a client with a chronic mental illness. The nurse informs the student that a behavior modification approach (operant conditioning) will be used in treatment for the client. Which statement by the student indicates a need for further information about the therapy?
"It uses positive reinforcement."
"It uses negative reinforcement."
"It increases social behaviors in the client."
"It increases the level of self-care in the client."

"It uses negative reinforcement."

The nurse is performing an admission assessment on a client at high risk for suicide. The nurse should prepare to ask the client which assessment question to elicit data related to this risk?
"What are you feeling right now?"
"Do you have a plan to commit suicide?"
"How many times have you attempted suicide in the past?"
"Why were your attempts at suicide unsuccessful in the past?"

"Do you have a plan to commit suicide?"

The nurse in the mental health unit is performing an assessment in a client who has a history of multiple somatic complaints involving several organ systems. Diagnostic studies revealed no organic pathology. The care plan developed for this client will reflect that the client is experiencing which disorder?
Depression
Schizophrenia
Somatization disorder
Obsessive-compulsive disorder

Somatization disorder

A mental health nurse in a psychiatric unit is meeting with a client who has a long history of acting out and violent behavior. The client also is known to have abused drugs on numerous occasions. During the session the client says to the nurse, "I'm feeling much better now, and I'm ready to go straight." Which response by the nurse would be therapeutic?
"You have said this many times before!"
"Tell me what makes you feel that you are ready."
"I have not seen any changes in you to believe that you are ready to go straight."
"I'm so glad to hear you talking this way. I will let your health care provider know."

"Tell me what makes you feel that you are ready."

A client with a diagnosis of depression has been meeting with the mental health nurse for therapy sessions for the past 6 weeks. During the session the client says to the nurse, "I lost my job this week, and I'm going to be evicted from my apartment if I can't pay my bill. The only person that I have is my daughter, but I don't want to burden her with my problems." Which response by the nurse would be therapeutic?
"Why did you lose your job?"
"There are homeless shelters available, and we will get you into one if you are evicted from your apartment."
"If you get evicted from your apartment, we will commit you to the hospital, so you will have a place to eat and sleep."
"Let's talk about contacting your daughter. Wouldn't you want to know if your daughter was having difficulty and try to help her if you could?"

"Let's talk about contacting your daughter. Wouldn't you want to know if your daughter was having difficulty and try to help her if you could?"

Blunted affect
Inappropriate affect

Inappropriate affect

A mental health nurse notes that a client with schizophrenia is exhibiting an immobile facial expression and a blank look. Which should the nurse document in the client's record?
The client has a flat affect.
The client has an inappropriate affect.
The client is exhibiting bizarre behavior.
The client's emotional responses exhibit a blunted affect.

The client has a flat affect. - The nurse is developing a plan of care for the client with a diagnosis of paranoia and should include which interventions in the plan of care? Select all that apply.

Provide a warm approach to the client.
Ask permission before touching the client.
Eliminate physical contact with the client.
Defuse any anger or verbal attacks with a nondefensive stance.
Use simple and clear language when communicating with the client.
1. Ask permission before touching the client.
1. Eliminate physical contact with the client.
1. Defuse any anger or verbal attacks with a nondefensive stance.
1. Use simple and clear language when communicating with the client. - The nurse is preparing a client for electroconvulsive therapy (ECT), which is scheduled for the next morning. Which interventions would be included in the preprocedural plan? Select all that apply.
Obtain an informed consent.
Have the client void before the procedure.
Remove dentures and contact lenses before the procedure.
Withhold food and fluids for 6 hours before the treatment.
Administer tap water enemas on the evening before the procedure.
1. Obtain an informed consent.
1. Have the client void before the procedure.
1. Remove dentures and contact lenses before the procedure.
1. Withhold food and fluids for 6 hours before the treatment.
A hospitalized client is receiving clozapine (Clozaril) for the treatment of a schizophrenic disorder. The nurse determines that the client may be having an adverse reaction to the medication if abnormalities are noted on which laboratory study?
Platelet count
Cholesterol level

Blood urea nitrogen
White blood cell (WBC) count

White blood cell (WBC) count

A client has been prescribed disulfiram (Antabuse). Before giving the client the first dose of this medication, what should the psychiatric home health nurse determine?
If there is a history of hyperthyroidism
When the last full meal was consumed
If there is a history of diabetes insipidus
When the last alcoholic drink was consumed

When the last alcoholic drink was consumed

A home care nurse making an initial home visit notes that a client is taking donepezil hydrochloride (Aricept). The nurse questions the client's spouse about a history of which disorder that is treated with this medication?
Dementia
Schizophrenia
Seizure disorder
Obsessive-compulsive disorder

Dementia

The nurse is caring for a client with a diagnosis of agoraphobia. When communicating with the client about the disorder, the nurse should expect the client to describe which behavior?
A fear of dirt and germs
A fear of leaving the house
A fear of speaking in public
A fear of riding in elevators

A fear of leaving the house

A client recently admitted to the hospital in the manic phase of bipolar disorder is dehydrated, unkempt, taking antipsychotic medications, and complaining of abdominal fullness and discomfort. The nurse determines that which intervention is most appropriate for these complaints?
Teach self-grooming skills.
Reward cleanliness with unit privileges.
Monitor the adequacy of the antipsychotic dosage.
Encourage frequent fluid intake and a high-fiber diet.

Encourage frequent fluid intake and a high-fiber diet.

A homebound client confidentially discusses suicidal plans with the visiting nurse. Based on professional duty to observe confidentiality, which statement bestdescribes the nurse's obligation to the client?
The nurse must have the client go to the local mental health center daily for counseling.
The nurse must ask the client not to reveal suicidal plans if the information needs to be kept confidential.
The nurse cannot tell anyone what the client said and must strictly adhere to

QUESTION AND ANSWER . DOC, Exercises of Nursing

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